Doctor Name: | MR. CHARLES FRANKLIN BERRY |
NPI Number: | 1033237839 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, MPT |
License Number: | 1131480 |
Business Practice Address: | 1628 19th St Lubbock, TX - 794014832 |
Business Phone Number: | 8067661172 |
Business Fax Number: | 8067661286 |
Mailing Address: | 7917 Aberdeen Ave Unit B, LUBBOCK |
State: | TX |
Postal Code: | 794241021 |
Phone Number: | 8067985889 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1131480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |